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Roles, relationships, perils and values: development of a pathway between practice development and evaluation
Susan M Carr1, Monique Lhussier, Jane Wilcockson
1Health Improvement Research Programme, Community Health and Education Studies Research Centre, Northumbria University, Newcastle upon Tyne, UK. sue.carr@northumbria.ac.uk
Quality in Primary Care
|August 14, 2008
Summary
Evaluating practice development in primary care presents challenges when internal and external evaluations occur concurrently. Understanding and acknowledging differing stakeholder perspectives is crucial for successful quality improvement initiatives.
Area of Science:
- Primary Care Research
- Health Services Evaluation
- Quality Improvement Science
Background:
- Primary care reform emphasizes quality, efficiency, and effectiveness.
- Innovation and evaluation are central to the quality agenda in healthcare.
- This study examines the complexities of evaluating practice development in primary care.
Purpose of the Study:
- To identify tensions between internal and external evaluations in primary care.
- To enhance understanding of roles, risks, and benefits of combined evaluation approaches.
- To inform strategies for maintaining and improving primary care quality.
Main Methods:
- A case study approach was employed.
- Reflexive analysis of experiences from both internal and external evaluators.
- Focus on the evaluation of a specific practice development initiative.
Main Results:
- Methodological, interpretive, and political tensions persist between practice development and evaluation.
- Differing stakeholder understandings of evaluation scope and process create dissonance.
- A framework for integrating diverse stakeholder views is proposed.
Conclusions:
- Concurrent evaluations reveal often-unrecognized consonance and dissonance between researchers and practice developers.
- Acknowledging and managing dissonance is key, as complete consonance may not always be achievable.
- The findings offer insights for navigating complex evaluation landscapes in primary care.
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